Funny events in anti-woke world

Dirty Hipsters

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As I said previously (I think just a few posts back), nothing wrong with using something to help curb the carb/sugar/processed grains addiction if you can't do it on willpower alone. Once you get over that, which should only take a few weeks to a month really, then you really shouldn't need anything. I used to be just starving at lunch time and have a rather large lunch, then I'd be starving when I got home (and eat a bunch of snacks), then eat dinner a few hours later. There was this one time at my old job (about 10 years old at this point) where they changed our lunch time from noon to 12:30 and so many of us were just starving because we all got used to eating at that time. We looked up the law on lunches even and got the time put back because the law says (in Illinois at least, not sure if federal or state law) that you must get a lunch break within 5 hours of starting work (we started at 7am). With all that said, I now skip lunch (and breakfast) basically everyday. On Mondays, Wednesdays, and Fridays, I don't even eat anything until after 9pm when I go out to dinner with friends (after we play board games). Today, I was just chilling at home all day and all I had was some leftovers basically; I had a banana, I had a leftover slice of chocolate cream pie (from Round the Clock on Wednesday as like everything comes with a dessert), and I had a leftover chili from Culvers that I got Thursday. I can go all day without really getting hungry at all and I legit don't even think about food until 2/3pm at the very earliest of any given day. Once you break that cycle of a bad diet, it is rather easy, it's the breaking it that is the hard part. And if I told past-me this just a few years ago, I would've called bullshit on the whole "not being hungry" talk that I'm currently saying.

You really just have to eat real foods and so many things just fixed themselves. I have the occasional treat like that chocolate cream pie or about once a week I go to Culvers when they have a favorite flavor of the day custard or at a party I kinda don't care what I eat. Outside of those occasional cheats, I just eat actual foods and I eat out for like every meal because I'm not a good cook at all, the myth that you can't eat healthy when eating out is a myth. For example, at Five Guys, I get the burger, ask for a cup for water, and eat the free peanuts as my side; the only unhealthy thing in that meal is the bun and most of the condiments (but you don't have to be perfect either). Most standard fast food places that have basically nothing healthy to eat like McDonalds or Taco Bell or Burger King, I simply don't go to and don't consider them restaurants because they don't sell food IMO. I'll go to a legit Mexican place if I want Mexican and I literally walk in, order a carry-out (not even calling in), and I have my food in 5 mins; that's faster than Taco Bell, I really don't understand how Taco Bell exists honestly when there's so many real Mexican restaurants. I haven't ordered any fried foods (not even fries) in probably 3 years. You just gotta tell yourself certain things aren't food anymore and just don't eat them outside of rare occasions.
Bro, idk how to tell you this, but nothing that you described in that post is particularly "healthy" and I would say that a few of those things are downright unhealthy.
 

Silvanus

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Insurers own the PBMs.
No, not quite. PBMs are their own companies. Some are subsidiaries of the same parent company as an insurance provider, but that's not the same thing: their income and accounting are separate.

And vitally, you have to remember that a PBM may be negotiating on behalf of insurance companies that aren't affiliated with it. Insurance companies often hire outside companies to handle negotiation.

I said doctors need checks on them as well. That doesn't mean I'm anti doctor and pro insurance company. I posted the video about the broken system, what stance have I changed? I changed my take that ozempic is super expensive after tstorm corrected my initial stance. Why can't you admit you're wrong?
Because you haven't shown a single way in which I am wrong. You said doctors need "checks"... but you want those checks to come from profit-motivated entities that you admit are broken, and which have no medical expertise. On one hand, you defend the insurance companies and pharmaceutical manufacturers, arguing they don't make huge profits and shouldn't lower prices... and then a minute later you say they're all broken and that's why prices are high. It's all so incoherent and muddled.

Because the condition (that requires the drug) is now cheaper to treat when the drug drops in price. They don't want spending to drop; hence, they stopped covering the drug when it dropped in price to cover a different drug that's still a high price. If spending drops, that 20% is less money. Why else would they decline the cheaper drug?
They don't want whose spending to drop? Stop and think for a moment.

You said their only revenue was from insurance premiums. That's their sole income. That wouldn't drop if the drug cost to insurers went down.
 

The Rogue Wolf

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XsjadoBlayde

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Just in case anyone starts feeling hopeful - Am not sure is wise to hope that followers would process disappointment and betrayal as a learning opportunity, as the whole reason qanon kicked off the way it did a year after his first term was cause it directly appeased the desperation voters increasingly felt to preserve their pride in the face of constant broken promises. It eased the cognitive dissonance effectively. Can only imagine this time around will develop a whole extra dimension of mass psychosis to further fuck with what's left of democracy.
 
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tstorm823

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The Republicans are still the party of business. Except the Trump wing exposes the fact that the modern Republican Party voter base have some extremely business-hostile policy ideas. This is a schism we're going to see play out over the coming years.
That isn't how parties work in American politics. There have always been conflicting positions within party, both parties have always had pro and anti business factions, both have war hawks and isolationists, etc. The defining division in American political parties is not the policies being proposed, but rather who decides. What is the power of the states? What is the power of the nation? What are the rights of the people? These are the questions that split our politics. The Republican Party has busted up both business trusts and unions in the past, pro and anti business policies can (and should) exist within a party. You're not going to see a meaningful schism in Republicanism until "one nation, under God" is called into question.
 

BrawlMan

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If you ever think you're going crazy, remember that this is considered "fat" by anti-woke standards.
The same assholes who considers boys or men liking or loving muscular women as "gay/not real men".

That's what you get for sucking a biatch in boxstand's dick. Be careful for what you wish for. Don't ever bring your dumb conservative asses to Blue Sky, because no one wants you over there!
 

Phoenixmgs

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No, not quite. PBMs are their own companies. Some are subsidiaries of the same parent company as an insurance provider, but that's not the same thing: their income and accounting are separate.

And vitally, you have to remember that a PBM may be negotiating on behalf of insurance companies that aren't affiliated with it. Insurance companies often hire outside companies to handle negotiation.



Because you haven't shown a single way in which I am wrong. You said doctors need "checks"... but you want those checks to come from profit-motivated entities that you admit are broken, and which have no medical expertise. On one hand, you defend the insurance companies and pharmaceutical manufacturers, arguing they don't make huge profits and shouldn't lower prices... and then a minute later you say they're all broken and that's why prices are high. It's all so incoherent and muddled.



They don't want whose spending to drop? Stop and think for a moment.

You said their only revenue was from insurance premiums. That's their sole income. That wouldn't drop if the drug cost to insurers went down.
They're all the same company...

Five of the six largest PBMs are owned by vertically integrated organizations that also own insurers, specialty pharmacies, and providers.

You're wrong about how much ozempic actually costs, which you still won't admit.

You don't actually read what I say. I've said multiple times, I'm for public healthcare so why would I WANT checks on doctors to come from a profit-motivated entity, but in the current system, where else would said checks comes from? I said that Novo Nordisk's profits would be way more if they actually made what you think they make on ozempic. Insurance companies profits are capped at 20%. You could just watch the video I linked.

They don't want healthcare spending to drop, then they make less money. Levemir is a diabetes drug and its price dropped 65% IIRC, then insurers stopped covering it and switched to a similar high costing drug. If say diabetes (and other conditions) cost less to treat, then healthcare overall is cheaper and they don't want that because they will make less money. Insurers will love ozempic once they raise premiums to properly allocate increased healthcare spending to it. The reason they don't cover it is because they didn't plan for the cost of it. But once they do, it will like never be denied, like a colonoscopy.
One reform Congress should revisit is the Medical Loss Ration (MLR) loophole. The Affordable Care Act introduced a cap on insurance profit margins, but not profit levels. Insurers are supposed to spend 80% of every dollar on care and only 20% on administrative costs. However, instead of lowering premiums, the insurance companies have been incentivized to increase costs so that they can make more money.
 

Dirty Hipsters

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Like what?
With all that said, I now skip lunch (and breakfast) basically everyday. On Mondays, Wednesdays, and Fridays, I don't even eat anything until after 9pm when I go out to dinner with friends (after we play board games).
It's not healthy to fast for 20 hours+ to then binge eat a full day's worth of calories in one sitting.

When you're fasting your body is breaking down stored nutrients for fuel. If you have a lot of body fat then a major source of that fuel during a fast will be that body fat. If you don't have a lot of body fat then your body will break down other "non-essential" things, like muscle. Your body eating its own muscle is obviously not healthy. This kind of intermittent fasting results in the "skinny fat" body type. People who think they're healthy because they're thin, but who also don't have much strength or stamina.

Today, I was just chilling at home all day and all I had was some leftovers basically; I had a banana, I had a leftover slice of chocolate cream pie (from Round the Clock on Wednesday as like everything comes with a dessert), and I had a leftover chili from Culvers that I got Thursday. I can go all day without really getting hungry at all and I legit don't even think about food until 2/3pm at the very earliest of any given day. Once you break that cycle of a bad diet, it is rather easy, it's the breaking it that is the hard part. And if I told past-me this just a few years ago, I would've called bullshit on the whole "not being hungry" talk that I'm currently saying.
None of this screams "good nutrition." You ate one banana, a slice of chocolate pie, and a bowl of chili, and are acting like that's a healthy day of eating just because you weren't hungry at the end and you aren't fat.

You really just have to eat real foods and so many things just fixed themselves. I have the occasional treat like that chocolate cream pie or about once a week I go to Culvers when they have a favorite flavor of the day custard or at a party I kinda don't care what I eat. Outside of those occasional cheats, I just eat actual foods and I eat out for like every meal because I'm not a good cook at all, the myth that you can't eat healthy when eating out is a myth. For example, at Five Guys, I get the burger, ask for a cup for water, and eat the free peanuts as my side; the only unhealthy thing in that meal is the bun and most of the condiments (but you don't have to be perfect either). Most standard fast food places that have basically nothing healthy to eat like McDonalds or Taco Bell or Burger King, I simply don't go to and don't consider them restaurants because they don't sell food IMO. I'll go to a legit Mexican place if I want Mexican and I literally walk in, order a carry-out (not even calling in), and I have my food in 5 mins; that's faster than Taco Bell, I really don't understand how Taco Bell exists honestly when there's so many real Mexican restaurants. I haven't ordered any fried foods (not even fries) in probably 3 years. You just gotta tell yourself certain things aren't food anymore and just don't eat them outside of rare occasions.
Literally the only healthy thing you said in this entire post is that you choose to drink water instead of soda and that you don't typically eat fried foods.
 

Silvanus

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They're all the same company...

Five of the six largest PBMs are owned by vertically integrated organizations that also own insurers, specialty pharmacies, and providers.
That sentence doesn't contradict what I said.

You're wrong about how much ozempic actually costs, which you still won't admit.
You've not shown anything of the sort. You've provided one estimate for the cost to insurers, as have I.

You don't actually read what I say. I've said multiple times, I'm for public healthcare so why would I WANT checks on doctors to come from a profit-motivated entity, but in the current system, where else would said checks comes from?
You've said you're for public healthcare... and then you say that M4A has to wait until we get the prices under control. Even though the reason the prices are high is the current system.

I said that Novo Nordisk's profits would be way more if they actually made what you think they make on ozempic. Insurance companies profits are capped at 20%. They don't want healthcare spending to drop, then they make less money. Levemir is a diabetes drug and its price dropped 65% IIRC, then insurers stopped covering it and switched to a similar high costing drug. If say diabetes (and other conditions) cost less to treat, then healthcare overall is cheaper and they don't want that because they will make less money. Insurers will love ozempic once they raise premiums to properly allocate increased healthcare spending to it. The reason they don't cover it is because they didn't plan for the cost of it. But once they do, it will like never be denied, like a colonoscopy.
Right, so are you arguing that if the drug cost the companies less, they'd be forced to lower premiums in order to comply with the 80/20 rule-- and that's why they switched off Levemir?

That is feasible I must say. Though the PBMs still have their own profit motive to prioritise more expensive drugs, quite apart from this.
 

Agema

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That is feasible I must say. Though the PBMs still have their own profit motive to prioritise more expensive drugs, quite apart from this.
One way or another, the pharmaceutical industry makes staggering sums of money out of the USA.

Whatever you want to say about the system, it does not deliver value for money for US customers. PBMs do not bargain effective deals with the pharmaceutical companies, and health insurance companies do not effectively drive PBMs to bargain pharmaceutical companies down. Bluntly, it is hard to avoid the conclusion that the market is rigged under the connivance of all three layers.

In many industries, the end customer might help solve the problem, but when the end customer is someone who needs or strongly wants a product for their life and health, well, beggars can't be choosers.
 

Phoenixmgs

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It's not healthy to fast for 20 hours+ to then binge eat a full day's worth of calories in one sitting.

When you're fasting your body is breaking down stored nutrients for fuel. If you have a lot of body fat then a major source of that fuel during a fast will be that body fat. If you don't have a lot of body fat then your body will break down other "non-essential" things, like muscle. Your body eating its own muscle is obviously not healthy. This kind of intermittent fasting results in the "skinny fat" body type. People who think they're healthy because they're thin, but who also don't have much strength or stamina.



None of this screams "good nutrition." You ate one banana, a slice of chocolate pie, and a bowl of chili, and are acting like that's a healthy day of eating just because you weren't hungry at the end and you aren't fat.



Literally the only healthy thing you said in this entire post is that you choose to drink water instead of soda and that you don't typically eat fried foods.
I eat when I'm hungry. On the days I do eat with friends late, I do hold off eating for a few hours as I'd prefer to eat somewhere around 3pm-6pm normally. The majority of people eat at not their most preferred time because food is eaten socially quite often (whether at work with co-workers or with family/friends). I don't find it a big deal to wait and it's not like I'm really starving or anything. I don't binge eat, I get a normal dinner from a restaurant, I don't even get a cheap "late night" appetizer. "Skinny fat" are those people that eat poorly and are skinny looking but have tons of visceral fat around their organs and will get diabetes and/or nonalcoholic fatty liver disease.

I'm by no means some super strong person (I don't lift weights or anything) but I'm stronger and have more stamina than the average person. Last year, we had to move 1,000 monitors and monitor stands (and several other things) to a different location so 10 straight hours of loading up flatbed carts to a truck (then unloading the truck at the other location) and I was the oldest one there and all these young guys are huffing and puffs and needing constant breaks. I'm not saying to not take breaks but these guys could barely work for an hour straight and it wasn't super physical labor.

When I'm just chilling at home for the day and not really doing anything, that's enough food for the day for me. There's tons of foods I don't eat like: fried foods, processed foods, basically any grains (because they're almost certainly processed), sugary foods. Basically any foods that have a high glycemic index and/or foods that have fats prone to oxidation (polyunsaturated fats). So, it's much more than just drinking water and not eating fried foods.

That sentence doesn't contradict what I said.



You've not shown anything of the sort. You've provided one estimate for the cost to insurers, as have I.



You've said you're for public healthcare... and then you say that M4A has to wait until we get the prices under control. Even though the reason the prices are high is the current system.



Right, so are you arguing that if the drug cost the companies less, they'd be forced to lower premiums in order to comply with the 80/20 rule-- and that's why they switched off Levemir?

That is feasible I must say. Though the PBMs still have their own profit motive to prioritise more expensive drugs, quite apart from this.
The money is all going to the same company regardless of how its moved around its subsidiaries.

The New York Times article alone provided 2 separate sources that came to the same numbers. You have the Novo Nordisk CEO testifying to how the whole thing works to Congress as well.

So you think you can just tell hospitals that a colonoscopy costs only this much now?

Yes, why would they want healthcare spending to drop? To them diabetes costs X per year to cover, you have X million people with diabetes, they want diabetes to at least continue costing the same amount or more. If I told you that you can have 20% of a pizza, wouldn't you pick the largest pizza you could?